Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.
Application used by Homemaker and Nurses to request reimbursement from the Province for services provided.
Statement of Expense for Health Care Providers and Allied Health Care Professionals.
For retailers that primarily sell specialty tobacco products to apply for a tobacconist registration.
Used to request a change in vendor for an approved Assistive Devices Program claim
Used to renew funding for rtCGM
Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
Used to renew funding for home oxygen therapy.
Used to apply for Funding for Ventilator Equipment and Supplies
Claim card used by physicians to receive reimbursement for reciprocal claims
Using the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.
Emergency admission of a child to a secure treatment program.
Public Health Unit requisition for specimen shipping supplies for rabies testing
